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MARLEY NICOLE SMITH PA-C
NPI 1164271763
Physician Assistant in Phoenix, AZ

Active since May 15, 2024PECOS EnrolledAccepts Medicare Assignment
5777 E MAYO BLVD, PHOENIX, AZ 85054(480) 342-2000 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 7, 2025, May 15, 2024 (2 updates tracked since 2024).

About Marley Nicole Smith Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLEY NICOLE SMITH PA-C (NPI 1164271763) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (11219) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164271763
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARLEY NICOLE SMITHCredential: PA-C
Location Address5777 E MAYO BLVDPhoenix, AZ 85054-4502
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (480) 301-8000
Phone(480) 342-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 15, 2024
Last NPPES UpdateSeptember 26, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
✔ NPI 1164271763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 11219
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5777 E MAYO BLVD, Phoenix, AZ 85054
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marley Nicole Smith Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608364856
PECOS Enrollment IDI20251021001922
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEAGAN ELIZABETH TIBBO M.D.
Orthopaedic Surgery
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 515-6296
MISS AMY LETICIA BROWN PA-C
Physician Assistant
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
KRISTINA YANCEY
Radiology (Diagnostic Radiology)
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 342-2000
KATHERINE ANNE LESPRON LMSW
Social Worker
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 342-4005
KASSANDRA HYDE APRN
Clinical Nurse Specialist
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 342-3962
DIANA M BUI M.D.
Emergency Medicine
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
JENNIFER S PALERMO P.A.
Physician Assistant
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
ALICIA CHEN M.D.
Radiology (Diagnostic Radiology)
5777 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marley Smith's NPI number?

The NPI number for Marley Smith is 1164271763. It was assigned to this individual provider in the NPPES registry on May 15, 2024.

Where is Marley Smith located?

Marley Smith practices at 5777 E Mayo Blvd, Phoenix, AZ 85054. The listed phone number is (480) 342-2000.

What is Marley Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marley Smith enrolled in Medicare?

Yes. Marley Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Marley Smith was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.